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» All > Health & Medicine > Insurance [3 Forums][Track this Category]
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Health Boards orthognathic surgery  
07:05 12-Jun-08   [Replies: 1, Views: 134]    By: Unnamed
is there a way to find a health insurance that will covered orthognathic surgery ...
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ActuarialOutpost Risk Banding  
14:14 11-Jun-08   [Replies: 5, Views: 360]    By: Unnamed
Can someone here explain the concept of risk banding to me? Any help would be greatly appreciated. Thanks. ...
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Health Boards how to reduce medical bill  
01:31 11-Jun-08   [Replies: 3, Views: 169]    By: Unnamed
my daughter underwent an elbow surgery but sad to say we dont have any insurance yet because we just arrived. we are holding an H4 visa. the estimated bill is 10-15k. is there a way to reduce this...
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ActuarialOutpost Health Watch May 2008  
14:37 10-Jun-08   [Replies: 6, Views: 380]    By: Unnamed
http://www.soa.org/library/newslette...2008-iss58.pdf [http://www.soa.org/library/newsletters/health-watch-newsletter/2008/may/hsn-2008-iss58.pdf]> Interesting articles about the "crisis.&q...
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Health Boards Finding short term coverage with pre-existing condition?  
11:06 6-Jun-08   [Replies: 1, Views: 201]    By: Unnamed
Hello, This is a question concerning my fiancee's health coverage. Throughout school he was always covered under his parents' insurance in WI (WEA insurance), and he is starting grad school in...
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ActuarialOutpost Revenue Codes for Surgery  
12:29 3-Jun-08   [Replies: 13, Views: 681]    By: Unnamed
Could someone please tell me what are the Rev Codes for Surgery (IP and OP)? Thank you so much! ...
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Health Boards getting ppo to pay out-of-network md cause no in-network  
14:59 1-Jun-08   [Replies: 4, Views: 306]    By: Unnamed
Hi everyone, I am a new member and seeking any advice on how to get my PPO (blue cross/blue shield of florida) to pay my daughter's out-of network neurosurgeon on an in-network basis because ...
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Health Boards Question about medication and Insurance.  
18:04 31-May-08   [Replies: 0, Views: 163]    By: Unnamed
I have just recently been charged a penalty on one of my medications for using a retail pharmacy instead of ordering a 90 day supply by mail from my insurance company. I have called the Ins. Co. ...
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Health Boards PGD and bill my insurance  
17:42 31-May-08   [Replies: 0, Views: 181]    By: Unnamed
My wife doing IVF and because we are carrier of sickle cell disease and my son has the disease and we did for him bone marrow transplant ,now we are planing to get another baby we need to do PGD s...
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Health Boards Kaiser and Infertility  
10:26 31-May-08   [Replies: 2, Views: 250]    By: Unnamed
Hey Guys! My husband just started a new job this week and we haven't received our insurance booklet yet. The company uses Kaiser Permanente and he has the Flex 100 Plan, which I think is the ...
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ActuarialOutpost Group Medical Pricing  
02:37 31-May-08   [Replies: 5, Views: 557]    By: Unnamed
It is common to have a tailor made quotation for large case for group medical policy and standard package for small case like the one with employees less than 50. If the package is standardiz...
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ActuarialOutpost Risk Limits  
11:45 28-May-08   [Replies: 5, Views: 399]    By: Unnamed
I just came across an issue where Im trying to limit our exposure to various risks lets say I have 3 products, with the following A = 30% enrollment, $200 PMPM B = 50% Enrollment, $23...
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Health Boards Medicaid spend-down  
13:43 27-May-08   [Replies: 0, Views: 229]    By: Unnamed
Ok, so this is not strictly an insurance question, but it's a health coverage question. I am on a Medicaid spend down program. This means, in my case, that once I spend--and document having...
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ActuarialOutpost Projected PMPM Trend  
14:59 23-May-08   [Replies: 8, Views: 552]    By: Unnamed
We want to know how to get an overall utilization trend by combining service categories. How would you do that? We have 2 methods we were considering – one was to just add the admits and v...
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Health Boards Help  
00:31 23-May-08   [Replies: 0, Views: 235]    By: Unnamed
Hi everyone, I live in Kentucky & I have a pre-existing condition of Cushing's. I've been denied before for private insurance and have been told I wouldn't qualify anyway because of my var...
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ActuarialOutpost Question about COBRA coverage for one employer with two offices  
17:43 22-May-08   [Replies: 4, Views: 488]    By: Unnamed
We have an employer that has two offices. Each office has its own health insurance plan. All employees are employed under one employer. An employee was recently terminated and the employer is ...
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Health Boards AMA copyright of CPT codes unfair  
14:18 22-May-08   [Replies: 0, Views: 239]    By: Unnamed
My wife and I are going through a nightmare trying to control medical costs. As we quickly found out, everything is determined by the CPT code that is used. We find that everywhere we go, the...
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Health Boards wow, free health care, amazing...  
02:31 22-May-08   [Replies: 15, Views: 881]    By: Unnamed
Wouldn't it be nice to have free health care... never worry about another hospital bill again? Well in Canada health care is totally free, I did not know this! I talked to a friend of mine who has...
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ActuarialOutpost State requesting rating factors  
17:26 21-May-08   [Replies: 10, Views: 573]    By: Unnamed
My state (Wisconsin for the mascot impaired) insurance commissioner has for the first time in 16 years exercised his regulatory right to request that small group health insurers submit tables of a...
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Health Boards Healthcare Insurance Affordable  
15:32 21-May-08   [Replies: 0, Views: 2]    By: Unnamed
Put a smile on your face! Family/Dental/ Optical Plans less than $7/week Call today for details on a free cell phone and free monthly minutes 1-877-483-1830 REP ID # 267993 ...
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Health Boards Dental  
15:15 21-May-08   [Replies: 0, Views: 3]    By: Unnamed
You can smile again Afordable dental savings plan for you and your entire family save 60to80% Call A.S.I. Healthcare Insurance toll free 1-877-483-1830 REP ID # 267993 ...
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Health Boards I lost my baby after week 19th  
01:10 21-May-08   [Replies: 2, Views: 249]    By: Unnamed
Hey What can I say, your pain is something no one can understand. It just happned to me today and I am just crying after that. I was 9 week pregnant and Today went for ultrasound and doc told that...
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ActuarialOutpost LTC premium increases  
17:20 19-May-08   [Replies: 2, Views: 381]    By: Unnamed
Is there a place to find premium increase information for LTC companies? I mean, other than pouring over every announcement a company has on their website. Thanks. ...
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Health Boards Health Insurance Pregnant  
14:11 17-May-08   [Replies: 1, Views: 272]    By: Unnamed
My girlfriend and I just recently found out that we were pregnant. We currently live in Florida as students. My girlfriend is a Florida resident and just graduated from school. We are in the proce...
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ActuarialOutpost Pricing question  
13:41 16-May-08   [Replies: 4, Views: 330]    By: Unnamed
Im trying to price an ip copay of say $100 I have an average cost per admit of $1000 Average util of 300/1000 I am deciding on using a coinsurance equivalence of 1) 1 - 100/1000 =9...
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